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Organization
MANGOLEAF DENTAL PLLC
Active
Organization
MANGOLEAF DENTAL PLLC
Active
Other names
Kissable Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY FREEMAN (OFFICE MANAGER)
(940) 228-2250
Entity
Organization
Contact information
Practice address
3501 FM 407 E STE 200, LANTANA, TX 76226-9769
(940) 489-1660
(972) 408-0736
Mailing address
3501 FM 407 E STE 200, LANTANA, TX 76226-9769
(940) 489-1660
(972) 408-0736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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